Higher anxiety and depression scores were significantly associated with negative exercise tests and negatively correlated with exercise duration in patients with positive tests.
Cross-Sectional (n=186)
Does mood influence exercise tolerance in patients with chest pain undergoing diagnostic exercise stress testing?
Mood significantly influences exercise tolerance in patients with ischemic heart disease, and atypical chest pain is frequently associated with underlying mood abnormalities.
Abstract The influence of mood on exercise tolerance was studied in 186 patients with chest pain presenting to a cardiology clinic for diagnostic exercise stress testing. Mood was measured using the Hospital Anxiety and Depression Scale and patients were exercised using a standard protocol. One hundred and fourteen patients had positive exercise tests indicating the presence of coronary artery disease and 72 patients had negative or inconclusive tests. Patients with negative exercise tests were younger, more commonly female, had atypical chest pain, and significantly higher anxiety and depression scores compared with those with positive exercise tests. In patients with positive exercise tests there was a significant negative correlation between the exercise duration and both anxiety and depression scores. Thus, mood influences the symptomatology of ischaemic heart disease. Many patients with atypical chest pain have significant abnormalities of mood which may be causally related to their pain.
Channer et al. (1987) conducted a cross-sectional in Chest pain (n=186). Mood (anxiety and depression) was evaluated on Exercise tolerance (exercise duration). Higher anxiety and depression scores were significantly associated with negative exercise tests and negatively correlated with exercise duration in patients with positive tests.